JENNIFER RYAN (NPI# 1174958763) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174958763 |
| Entity Type | Individual |
| Full Name | JENNIFER RYAN |
| Practice Address |
1135 Morton St Mattapan MA 02126-2834 |
| Mailing Address |
398 Neponset Ave Dorchester MA 02122-3134 |
| Practice Telephone | 6175332300 |
| Practice Fax Number | 6175332341 |
| Enumeration Date | 2013-09-13 |
| Last Update Date | 2013-09-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | LN67522 | MA | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700408473 | Jennifer Abigail Ryan | Registered Nurse | 43 Perkins Ct, Greer, SC 29651-5090 | 2020-05-15 |
| 1518528694 | Jennifer Ann Ryan | Nurse's Aide | 4380 Sw Macadam Ave Ste 530, Portland, OR 97239-6408 | 2019-06-27 |
| 1780240770 | Jennifer Ryan | Registered Nurse | 302 Heimer Rd, San Antonio, TX 78232-4887 | 2019-05-15 |
| 1093222499 | Jennifer Leigh Ryan | Speech-Language Pathologist | 44 Elm St Ste 10, Huntington, NY 11743-3403 | 2018-01-08 |
| 1801165030 | Jennifer Ryan | Speech-Language Pathologist | 219 Belvidere St, Saint Johnsbury, VT 05819-2354 | 2011-12-16 |
| 1225312564 | Jennifer Ryan | Licensed Practical Nurse | 80 N Fulton St, Auburn, NY 13021-2018 | 2011-10-05 |
| 1457584930 | Jennifer J Ryan | Occupational Therapy Assistant | 2400 Hexall Ct, Virginia Beach, VA 23454-6511 | 2009-08-31 |
| 1083862197 | Jennifer Lynn Ryan | Counselor | 30 Controls Drive, Suite 10, Shelton, CT 06484-5434 | 2008-09-03 |
| 1508027087 | Jennifer Ann Ryan | Speech-Language Pathologist | 2713 Tomahawk Dr, Waterford, MI 48328-3186 | 2008-06-18 |
| 1649482688 | Jennifer J Ryan | Physical Therapist | 919 E Valley Ln, Arlington Heights, IL 60004-3327 | 2007-05-03 |
| Street Address |
1135 MORTON ST |
| City | MATTAPAN |
| State | MA |
| Zip Code | 02126-2834 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558346296 | John Roberts | Nurse Practitioner | 1135 Morton St, Mattapan, MA 02126-2834 | 2005-12-14 |
| 1285299438 | Alexis Dove Mccrohan | Social Worker | 1135 Morton St, Mattapan, MA 02126-2834 | 2019-05-03 |
| 1760962914 | Sarah Visintainer | Pharmacist | 1135 Morton St, Mattapan, MA 02126-2834 | 2018-08-17 |
| 1891206322 | Kelsey Beth Sheehan | Pharmacist | 1135 Morton St, Mattapan, MA 02126-2834 | 2017-10-24 |
| 1548621048 | Corinne Sieben | Registered Nurse | 1135 Morton St, Mattapan, MA 02126-2834 | 2016-03-10 |
| 1366810905 | Jazmin Turner | Pharmacist | 1135 Morton St, Mattapan, MA 02126-2834 | 2015-09-14 |
| 1225443831 | Amy Wujastyk Thein | Pharmacist | 1135 Morton St, Mattapan, MA 02126-2834 | 2014-06-23 |
| 1124438379 | Maureen Moore | Dental Hygienist | 1135 Morton St, Mattapan, MA 02126-2834 | 2014-04-28 |
| 1649605791 | Christiaan Van Damme | Registered Nurse | 1135 Morton St, Mattapan, MA 02126-2834 | 2013-09-09 |
| 1013340165 | Robert Gilbert | Registered Nurse | 1135 Morton St, Mattapan, MA 02126-2834 | 2013-08-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184280646 | Covil Home Care LLC | In Home Supportive Care | 1549 Blue Hill Ave, Mattapan, MA 02126 | 2019-05-10 |
| 1902374069 | Kasha Sarette | Social Worker | 37 Babson St, Mattapan, MA 02126 | 2018-11-07 |
| 1093231359 | Danielle Christian | Behavior Technician | 73 Catbird Ct, Mattapan, MA 02126 | 2017-08-18 |
| 1609314681 | Regis College | Hospice, Inpatient | 19 Southmere Road, Mattapan, MA 02126 | 2017-02-09 |
| 1437606001 | Betsy-lynn Ngole | Community Health Worker | 137 Savannah Ave, Boston, MA 02126 | 2016-09-01 |
| 1437535440 | Rosel Forwang Lewis | Registered Nurse | 42 Hallowell St, Mattapan, MA 02126 | 2015-08-03 |
| 1033596895 | Quality Home Care & Transportation | Transportation Broker | 93 W Selden St, Mattapan, MA 02126 | 2015-04-30 |
| 1205101565 | Clayton Mark Sandiford | Contractor | 22 Banfield Ave, Boston, MA 02126 | 2012-03-19 |
| 1790093128 | Richard Christopher Mitchell Jr. | Counselor | 32 Wellington Hill St, Mattapan, MA 02126 | 2010-09-20 |
| 1972630622 | Gemima St. Louis | Psychologist | 255 River St, Spark Center-bmc, Mattapan, MA 02126 | 2007-02-28 |
| Find all providers in zip 02126 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962729988 | Hans Desrosiers | Licensed Practical Nurse | 23 Tileston St, Mattapan, MA 02126-1033 | 2010-04-29 |
| 1619112000 | Andrew D Kakulu | Licensed Practical Nurse | 14 Alabama St, Mattapan, MA 02126-1416 | 2008-12-13 |
| 1437405651 | Margaret Mullen | Licensed Practical Nurse | 1135 Morton St, Mattapan, MA 02126-2834 | 2012-07-25 |
| 1528362266 | Claire Lyons | Licensed Practical Nurse | 1135 Morton St, Mattapan, MA 02126-2834 | 2011-01-10 |
| 1538463427 | Beverly Cox | Licensed Practical Nurse | 1135 Morton St, Mattapan, MA 02126-2834 | 2011-01-06 |
| 1851695886 | Karen Adams | Licensed Practical Nurse | 1135 Morton St, Mattapan, MA 02126-2834 | 2011-01-05 |
| 1932372570 | Chidinma Ogundu | Licensed Practical Nurse | 1425 Blue Hill Ave, Mattapan, MA 02126-2253 | 2008-04-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417556267 | Stephanie Marie Murphy | Licensed Practical Nurse | 35 Admiral Halsey Rd, Plymouth, MA 02360-1815 | 2020-10-22 |
| 1003423336 | Miladys Reyes | Licensed Practical Nurse | 1 General St Fl 4, Lawrence, MA 01841-2961 | 2020-09-30 |
| 1902413073 | Ruchama T Leconte | Licensed Practical Nurse | 898 Read St, Attleboro, MA 02703-6199 | 2020-09-23 |
| 1780299131 | Amanda Marie Holland | Licensed Practical Nurse | 1 Carleton Rd, Plainville, MA 02762-2401 | 2020-09-12 |
| 1689285330 | Kizzy Akeeyaha Guyton | Licensed Practical Nurse | 191 Meadow St, Carver, MA 02330-1524 | 2020-08-14 |
| 1700497096 | Monica Lynn Glasgow | Licensed Practical Nurse | 21 Kenwood St, Greenfield, MA 01301-1973 | 2020-08-11 |
| 1184234841 | Karen Yvonne Harris | Licensed Practical Nurse | 1000 Harvard St Apt 16, Boston, MA 02126-1405 | 2020-08-06 |
| 1316557580 | Teresah Nyaga | Licensed Practical Nurse | 10 Overlook Trl Apt 10211, Peabody, MA 01960-8840 | 2020-08-03 |
| 1073122487 | Evelyn Chacon | Licensed Practical Nurse | 10 Oakland Ave Apt 1, Attleboro, MA 02703-3581 | 2020-07-31 |
| 1225647530 | Lauren Taylor Robbins | Licensed Practical Nurse | 21 Centennial Drive Apt. #3, Norwood, MA 02062 | 2020-07-23 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.